Finance

Benefits Specialist Bronx, NY : 9/17/2024

Job Description

Job ID#:

4022

Job Category:

Finance

Details:

Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing and community building services, work we have been doing since 1969. By hiring talented individuals like you, we've been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland and Puerto Rico.

POSITION OVERVIEW:

The Benefit Specialist reports directly to the Program Director. The Duties & Responsibilities include • Coordinate, monitor and evaluate benefit services • Develop and maintain a directory of information for manage care providers. Keep case managers informed of any changes in benefits • Assist Case Managers in keeping accurate records meeting managed care requirements • Attend and participate in all required agency meetings: staff meetings, in-service training and weekly case review.

The Benefit Enrollment Specialist will work in Acacia Amanecer program site in the Bronx.

Pays: $50,000 per year

KEY ESSENTIAL FUNCTIONS:

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  Must be familiarized with Managed Care providers to ensure proper processing of all required documents ie. Appendix A, LocadtrMaintain

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  E-mail distribution daily

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  Ensure that documents are submitted to Managed Care providers within the required timeline,

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  Ensure Discharge/Con-Current review documentation are completed within a timely manner. Complete follow-ups call to ensure documents have been received/reviewed

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  Must confer with Medical Director when Doc to Doc review is being requested by manage care providers as well as CASAC managing the case

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  Track Re-Admissions trends to avoid denial by manage care providers

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  Communicate all appeal request to Unit Clerk to ensure charts are submitted to our finance dept. for processing within appropriate timeline

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  Assist clients to resolve any problems and answer questions about their Manage Care benefits.

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  Educate eligible partner staff and prospective clients about benefits and how to access those benefits.

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  Ensure that all program outcomes are properly documented in an accurate and timely manner through program reporting systems

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  Work with leadership staff to use program performance data to drive improvements to the program design and implementation

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  Participate in all required trainings and meetings; maintain a strong and current expertise in public benefits eligibility, application and enrollment, as well as community resources

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  Perform other duties as required

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  REQUIREMENTS: Experience and Special Requirements

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  High School diploma required; CASAC 2 and/or bachelor's degree in relevant field preferred.

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  Relevant experience with special need population facing strong barriers towards benefits.

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  Bilingual Spanish preferred. Excellent communication and computer skills.

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  Comfortable working closely with others in a stressful environment.

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  Bilingual, Spanish and English, ability to work independently, Familiarity with database and case noting

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Job Requirements